{"id":4330,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/posttonsillectomypaeds\/"},"modified":"2025-01-20T14:55:22","modified_gmt":"2025-01-20T14:55:22","slug":"posttonsillectomypaeds","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/tonsils-paediatrics\/posttonsillectomypaeds\/","title":{"rendered":"Post Tonsillectomy Paeds"},"content":{"rendered":"\n<p>\u200b<span>Tonsillectomy with or without adenoidectomy is one of the most common ENT procedures. These are usually carried out for recurrent tonsillitis meeting the SIGN guidelines or sleep disordered breathing (OSA).<\/span><\/p>\n\n\n\n<p><span>Tonsillectomy is a\nvery painful operation. The greatest post-operative challenge is to keep the\nchildren comfortable and able to eat and drink normally. Regular analgesia is\nkey.<\/span><\/p>\n\n\n\n<p><span>The post-tonsillectomy\nhaemorrhage rate is around 3%. Bleeding can occur up to 2 weeks post-operatively.<\/span><\/p>\n\n\n\n<p><span>At present most children stay in\nhospital overnight after the procedure.<\/span><\/p>\n\n\n\n<p><span>Minor haemorrhage (blood tinged\nsaliva, spotting on pillow) is thought to be very common and normal.<\/span><\/p>\n\n\n\n<p><span>Post operatively the tonsillar bed turns yellow\/white and sloughy. This is normal and not a sign of infection. <\/span><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li>If history suggestive of major bleed or ongoing bleeding transfer to ED urgently.<\/li>\n\n\n\n<li>If history suggestive of minor bleed can be observe<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li>If history suggestive of major bleed or ongoing bleeding transfer to ED urgently<\/li>\n\n\n\n<li>Assess oral cavity for bleeding<\/li>\n\n\n\n<li>Basic resuscitation if necessary<\/li>\n\n\n\n<li>If history suggestive of minor bleed (blood tinged saliva) can be observed<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Tonsillectomy with or without adenoidectomy is one of the most common ENT procedures. These are usually carried out for recurrent tonsillitis meeting the SIGN guidelines or sleep disordered breathing (OSA). Tonsillectomy is a very painful operation. The greatest post-operative challenge is to keep the children comfortable and able to eat and drink normally. Regular analgesia<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":22506,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[181],"class_list":["post-4330","page","type-page","status-publish","hentry","category-posttonsillectomypaeds"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/entpaediatric\/posttonsillectomypaeds\/\" rel=\"tag\">Post Tonsillectomy (Paeds)<\/a>","rttpg_excerpt":"&#8203;Tonsillectomy with or without adenoidectomy is one of the most common ENT procedures. These are usually carried out for recurrent tonsillitis meeting the SIGN guidelines or sleep disordered breathing (OSA). Tonsillectomy is a very painful operation. The greatest post-operative challenge is to keep the children comfortable and able to eat and drink normally. Regular analgesia","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4330","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4330"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4330\/revisions"}],"predecessor-version":[{"id":22563,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4330\/revisions\/22563"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/22506"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4330"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4330"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}